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Sheriff's Office Reserves & Volunteers Application

To apply for a reserve or volunteer position online, enter the following information and click the Submit button at the bottom.
You must enter the required fields (indicated by * and red field name). You may also attach your
resume to this application. All information will be e-mailed to the Larimer County Sheriff's Office.

Other names, assumed names or nicknames to help us check your records:

Past Employment Information

We must have accurate and complete information on previous job tasks and levels of responsibility, as
your work experience is an important factor in evaluating your qualifications. List names of employers in consecutive order
with present or most recent employer listed FIRST. Account for all periods of time including military service and any
period of unemployment. If self-employed, give firm name and business references.

Current or Most Recent Employer

Employer:

Title:

Type of Business:

Street:

Phone:

City:

State:

Country:

Starting Pay Rate:

Ending Pay Rate:

Duties:

Start Date:

End Date:

Reason for leaving:

Last Supervisor's Name & Title:

May we contact current employer: Yes No

Previous Employer 1

Employer:

Title:

Type of Business:

Street:

Phone:

City:

State:

Country:

Starting Pay Rate:

Ending Pay Rate:

Duties:

Start Date:

End Date:

Reason for leaving:

Last Supervisor's Name & Title:

Previous Employer 2

Employer:

Title:

Type of Business:

Street:

Phone:

City:

State:

Country:

Starting Pay Rate:

Ending Pay Rate:

Duties:

Start Date:

End Date:

Reason for leaving:

Last Supervisor's Name & Title:

Previous Employer 3

Employer:

Title:

Type of Business:

Street:

Phone:

City:

State:

Country:

Starting Pay Rate:

Ending Pay Rate:

Duties:

Start Date:

End Date:

Reason for leaving:

Last Supervisor's Name & Title:

Additional Previous Employers - use the Other Information field below and use same format as above.

Education - High School or GED

Name:

Last Year Completed:

Address:

Diploma Received: No Yes

Education - College or University (most recent first)

School:

Degree Received:

Course of Study:

No. Years Completed:

Address:

Country:

School:

Degree Received:

Course of Study:

No. Years Completed:

Address:

Country:

School:

Degree Received:

Course of Study:

No. Years Completed:

Address:

Country:

Other Information, Education, Training or Relevant Experience

List any other education, training, volunteer work, or relevant experience that would be
of further assistance in evaluating your qualifications. Include dates, names of schools, length or experience, etc.

Special Skills

What skills do you have that are related to the job(s) you are applying for?

What machines or equipment can you operate that are related to the job(s) you are applying for?

Do you type? Yes No Typing speed: WPM

Driver's License

For jobs requiring a valid Colorado driver's license or Commercial Driver's License (CDL). Commercial Driver's License(CDL) positions require a "Driver's Supplemental Application" which can be obtained from the HR Department.

State:

Class:

Number:

Expiration Date:

General

Have you previously been employed by Larimer County?
Yes
No
Date:

If veterans points are applicable, are you claiming Veteran's Preference status?
Yes
No

Convictions

Have you ever been convicted of any law violation (include whether you are currently subject to a deferred sentence) except minor traffic violations?
Yes
No

If yes, give details:

(A conviction does not automatically disqualify you from employment, since the nature and date of the offense, the job(s) for which you are applying, and other factors will be considered.)

References

List three persons who are not related to you and who have definite knowledge of your business or professional qualifications for the position for which you are applying. Do not repeat names of supervisors listed under work history.

First Name:

Last Name:

Occupation:

Street:

City:

State:

Zip:

Country:

Phone:

E-mail:

First Name:

Last Name:

Occupation:

Street:

City:

State:

Zip:

Country:

Phone:

E-mail:

First Name:

Last Name:

Occupation:

Street:

City:

State:

Zip:

Country:

Phone:

E-mail:

Resume

If you wish, you may attach your resume to this application. Enter the file name or browse to select the file. (Microsoft Word or ASCII text preferred)

AFFIDAVIT

I certify that all information provided in this employment application is true and complete. I understand that any false information
or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at any
later date.

I understand that Larimer County may conduct an extensive and thorough background investigation.

I authorize Larimer County and/or any of it's agents to verify and investigate any or all statements contained in this application.
I also authorize any person, school, current employer (except as previously noted), past employers, law enforcement
authorities, and organizations named in this application to provide and release any information and opinions concerning my
background. I release such persons and organizations from any legal liability for any damage whatsoever for making such
statements.

I understand the use of illegal drugs is prohibited during employment. I may be required to successfully pass a drug and alcohol
screening examination prior to being hired, and I consent to taking a drug and alcohol test at any time during my employment,
should I be hired.

I understand that this application or subsequent employment does not create a contract of employment nor guarantee
employment for any definite period of time.

By checking the I Agree box below, you hereby certify that you have read and understand the instructions, conditions and other information provided in this document.

I AgreeFull Name:

Procurement of a Consumer Report

In connection with your application for employment, we may procure a consumer report on you as part of the
process of considering your candidacy as an employee. In the event that information from the report is utilized
in whole or in part in making an adverse decision with regard to your potential employment, before making the
adverse decision, we will provide you with a copy of the consumer report and a description in writing or your
rights under the law.

Please be advised that we may also obtain an investigative report including information as to your character,
general reputation, personal characteristics, and mode of living. This information may be obtained by
contacting your previous employers or references supplied by you. Please be advised that you have the right to
request, in writing, within a reasonable amount of time, that we make a complete and accurate disclosure of the
nature and scope of the information requested. Such disclosure will be made to you within 5 days of the date on
which we receive the request from you or within 5 days of the time the report was first requested.
The Fair Credit Reporting Act gives you specific rights in dealing with consumer reporting agencies. Read the complete summary of your rights under the Fair Credit Reporting Act. [pdf]

By checking the I Agree box below, you hereby acknowledge that you have been informed that Larimer County has
disclosed its intent to seek a consumer report about you and that you authorize us to obtain a consumer report
about you in order to consider you for employment.